NPIMap

Organization Active NPI

Family Chiropractic Clinic PC

  • Chiropractor
  • Goshen, IN
National Provider Identifier
1629196738
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000954A Issued in IN
Legal business name
FAMILY CHIROPRACTIC CLINIC PC
Practice address
1119 S Indiana Ave
Goshen, IN 46526-6207
Phone
(574) 534-3608
Fax
(574) 534-3609
NPI assigned
Mar 27, 2007
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohsen Hamadanchi, DCNPI 1922127604
Title
President Owner
Phone
(574) 534-3608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000954A IN Primary

Addresses

Primary practice location

1119 S Indiana Ave
Goshen, IN 46526-6207

Mailing address

1119 S Indiana Ave
Goshen, IN 46526-6207
Phone (574) 534-3608

National Provider Directory

National Provider Directory

Locations

1119 S Indiana Ave
Goshen, IN 46526
Phone (219) 534-3608

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1629196738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 S INDIANA AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266207",
            "telephone_number": "574-534-3608",
            "fax_number": "574-534-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 S INDIANA AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266207",
            "telephone_number": "574-534-3608",
            "fax_number": "574-534-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "HAMADANCHI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "574-534-3608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000954A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.